中国ERCP致十二指肠穿孔并发症管理指南(2023版)

Guideline for the management of complications of duodenal perforation associated with ERCP in China(2023 edition)

ERCP目前已成为诊断和治疗胆胰疾病的重要手段之一。十二指肠穿孔是ERCP术后最严重的并发症,其处理棘手,病死率高。为规范ERCP临床管理,改善患者结局,中华医学会消化内镜学分会内镜外科学组、中国医师协会外科医师分会内镜外科专家工作组、中国医师协会胰腺病专业委员会组织国内ERCP领域专家,基于最新循证医学证据,制订《中国ERCP致十二指肠穿孔并发症管理指南(2023版)》,就临床医师最关注的ERCP致十二指肠穿孔并发症管理的6个方面给出16条推荐意见,以期进一步规范我国ERCP致十二指肠穿孔的诊断与治疗流程,促进ERCP技术的安全推广。

Endoscopic retrograde cholangio-pancreatography(ERCP)has become one of the important methods for diagnosing and treating biliary and pancreatic diseases.Duodenal perforation is the most serious complication after ERCP,which is difficult to manage and has a high mortality rate.In order to standardize clinical management of ERCP and improve patient's outcomes,the Endoscopic Surgery Group of Digestive Endoscopy Branch of Chinese Medical Association,the Endoscopic Surgery Expert Working Group of Chinese College of Surgeons,and the Professional Committee of Pancreatic Disease of Chinese Medical Doctor Association have established an expert group and developed the Guidelines for the management of complications of duodenal perforation associated with ERCP in China(2023 edition)based on the latest evidence.This guideline provides 16 recommendations focusing on the 6 aspects that clinicians are most concerned about,with the aiming to standardize the diagnosis and management of duodenal perforation associated with ERCP in China,and to facilitate its safe popularization.